CMS proposes to bar federal Medicaid/CHIP funding for "sex-rejecting procedures" for minors
- Date
- Actor
- CMS / HHS
- Agency
- Centers for Medicare & Medicaid Services (CMS)
- Type
- Proposed rule
Summary
NPRM (90 FR, doc. 2025-23464) proposing to prohibit federal financial participation under Medicaid (under 18) and CHIP (under 19) for puberty blockers, cross-sex hormones, and surgeries furnished to treat gender dysphoria ("sex-rejecting procedures"), while preserving coverage for mental-health services and for the same interventions used for other diagnoses (e.g., precocious puberty, DSD). About 11,000 comments were filed; more than 90% opposed.
Status
Finalized August 13, 2026 (see that item).
As recorded in the data of . Check the sources for anything newer.
Documents
-
Medicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children, 90 Fed. Reg. 59,441 (proposed Dec. 19, 2025) (to be codified at 42 C.F.R. pts. 441, 457).
Sources
- hallrender.com/2025/12/19/cms-proposes-new-rules-blocking-funding-to-providers-…(opens another site)
- federalregister.gov/documents/2025/12/19/2025-23464/medicaid-program-prohibitio…(opens another site)
Cite this action
Medicaid Program; Prohibition on Federal Medicaid and Children's Health Insurance Program Funding for Sex-Rejecting Procedures Furnished to Children, 90 Fed. Reg. 59,441 (proposed Dec. 19, 2025) (to be codified at 42 C.F.R. pts. 441, 457).
Short form: 90 Fed. Reg. at 59,441.